右江民族医学院学报
右江民族醫學院學報
우강민족의학원학보
JOURNAL OF YOUJIANG MEDICAL COLLEGE FOR NATIONALITIES
2015年
2期
211-213
,共3页
张劲松%黄文静%沈观乐%吴海青
張勁鬆%黃文靜%瀋觀樂%吳海青
장경송%황문정%침관악%오해청
呼吸窘迫综合征,成人%机械通气%肺保护通气
呼吸窘迫綜閤徵,成人%機械通氣%肺保護通氣
호흡군박종합정,성인%궤계통기%폐보호통기
acute respiratory distress syndrome,adult%mechanical ventilation%lung protective ventila-tion
目的:探讨急性呼吸窘迫综合征(ARDS)的诊断方法及规范化的治疗手段,以期提高治疗安全性、科学性和有效性。方法选取2013年3月~2014年6月收治的符合 ARDS 诊断标准的患者共105例,观察组给予符合肺保护通气策略的规范化综合治疗,增加个体化设置小潮气量通气、俯卧位通气等改善策略;对照组给予人工机械通气为主的常规综合治疗。结果①治疗3 d 后,观察组的 R 和 P 治疗前后间差异无统计学意义(P >0.05),观察组 SaO 2、PaO 2、氧合指数(PaO 2/FiO 2)明显高于对照组(P <0.05)。②治疗10 d 后,观察组治疗有效率为93.65%;对照组为76.19%。两组患者的临床疗效经统计学分析差异有统计学意义(P <0.05)。结论 ARDS 病情危急,及时正确诊断、规范有效治疗是提高救治率、降低病死率的重要保证。
目的:探討急性呼吸窘迫綜閤徵(ARDS)的診斷方法及規範化的治療手段,以期提高治療安全性、科學性和有效性。方法選取2013年3月~2014年6月收治的符閤 ARDS 診斷標準的患者共105例,觀察組給予符閤肺保護通氣策略的規範化綜閤治療,增加箇體化設置小潮氣量通氣、俯臥位通氣等改善策略;對照組給予人工機械通氣為主的常規綜閤治療。結果①治療3 d 後,觀察組的 R 和 P 治療前後間差異無統計學意義(P >0.05),觀察組 SaO 2、PaO 2、氧閤指數(PaO 2/FiO 2)明顯高于對照組(P <0.05)。②治療10 d 後,觀察組治療有效率為93.65%;對照組為76.19%。兩組患者的臨床療效經統計學分析差異有統計學意義(P <0.05)。結論 ARDS 病情危急,及時正確診斷、規範有效治療是提高救治率、降低病死率的重要保證。
목적:탐토급성호흡군박종합정(ARDS)적진단방법급규범화적치료수단,이기제고치료안전성、과학성화유효성。방법선취2013년3월~2014년6월수치적부합 ARDS 진단표준적환자공105례,관찰조급여부합폐보호통기책략적규범화종합치료,증가개체화설치소조기량통기、부와위통기등개선책략;대조조급여인공궤계통기위주적상규종합치료。결과①치료3 d 후,관찰조적 R 화 P 치료전후간차이무통계학의의(P >0.05),관찰조 SaO 2、PaO 2、양합지수(PaO 2/FiO 2)명현고우대조조(P <0.05)。②치료10 d 후,관찰조치료유효솔위93.65%;대조조위76.19%。량조환자적림상료효경통계학분석차이유통계학의의(P <0.05)。결론 ARDS 병정위급,급시정학진단、규범유효치료시제고구치솔、강저병사솔적중요보증。
Objective To investigate the diagnosis and standardized treatment of acute respiratory distress syndrome (ARDS),so as to improve treatment safety,science and effectiveness. Methods From March 2013 to June 2014,105 patients diagnosed with ARDS were admitted to our department.Patients of the obser-vation group were given consistent with lung protective ventilation strategy standardized comprehensive treat-ment,added individual prescription of low tidal volume ventilation,prone position ventilation and other im-proved strategy;patients of the control group received conventional comprehensive treatment majoring in artifi-cial mechanical ventilation. Results ①Three days after treatment,comparing pre-treatment R and P levels to those of post-treatment for the observation group yielded no statistically significant difference (P >0.05). Patients in the observation group had significantly higher SaO 2 ,PaO 2 and oxygenation index (PaO 2/FiO 2 ) than those in the control group (P <0.05 ).②Ten days after treatment,the response rate for observation group was 93.65%,but the control group was only 76.1 9%.,group-paired comparison of clinical effective-ness showed a statistically significant difference (P < 0.05 ). Conclusion ARDS is a critical disease,and timely accurate diagnosis and standardized effective treatment is effective and guarantee to improve the curative rate and to reduce the mortality.